MISS Tabby Divine La Brea
NPI #1114797784 in University Place, Washington
Provider Information
- NPI Number
- 1114797784
- Entity Type
- Individual
- Name
- MISS Tabby Divine La Brea
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jan 4, 2024
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 7610 40TH ST W STE 300
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-3834
- Phone
- (253) 830-6242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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